Individual
MR. ELLIOT J. HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
909 HYDE STREET, SUITE 428, SAN FRANCISCO, CA 94109
(415) 563-5566
(415) 563-5558
Mailing address
909 HYDE STREET, SUITE 428, SAN FRANCISCO, CA 94109
(415) 563-5566
(415) 563-5558
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY8809
CA
Other
Enumeration date
05/09/2017
Last updated
05/09/2017
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